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Home My WebLink AboutCappellino, Louise Southoid Town Board Of Trustees Field Inspection/Worksession Report Date/Time: 2// Name of Applicant: Name of Agent: , Location: SCTM# & Street Brief Description of proposed action: T~e of area to be impacted: altwater Wetland Freshwater Wetland __ t~Sound Front Bay Front Distance of proposed work to edge of above: P~cOf Town Code proposed work falls under: hapt.97 Chapt. 37 other Type of Application: Wetland ~Coastal Erosion __Emergency Info needed: ~Amendment Administrative Modifications: Conditions: Present Were: ~J.King ___J.Doherty __P.Dickerson D. Bergen__J.Holzapfel Other: Page 1 of 9 Sub j; (no subject) Date: 2/10/2006 11:06:58 P;M Eastern Standard Time From: Obmcgbu~c~ To: CappyJ~, Lofe!ou Monday, February 13, 2006 America Online: Guest Page 7 of 9 Gabbiones destroyed Ginnies cliff Monday, February 13, 2006 America Ordine: Guest Page 6 of 9 Monday, February 13, 2006 America Online: Guest Page 2 of 9 Monday, February 13, 2006 America Online: Guest Page 3 of 9 This is between you and Ginnie Monday, Febrttary 13, 2006 America Online: Guest Page 4 Of 9 Monday, February 13, 2006 America Online: Guest Page 5 of 9 Monday, February 13, 2006 America Online: Guest Page 8 of 9 This is what teiring looks like but it is not guaranteed to hold up as the next photo will tell Monday, February 13, 2006 America Online: Guest have more but this basically tells the story Monday, February 13, 2006 America Online: Guest ,WI fy') s..-r-T~ May 10, 2006 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application ~'~ Administrative Permit Amendment/Transfer/Extension -/Rec e~vved Application: ~_-~Received Fee:$ __Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent) __LWRP Consistency Assessment Form __CAC Referral Sent: ~ate of Inspect/on: ,_~?./~./C~ __Receipt of CAC Report: __Lead Agency Determination: __Technical Review: ~ublic Hearing Held: '~-}~qd.-/')/-~ __Resolution: Name of Applicant Address Suffolk County Tax Map Number: 1000- mhoneNumber:( ~53// o~ ~_~-~'~.,~__..-- ?¢- s -2 Property Location: (provide L~LCO Pole ~,distance to cross streets, and location) AGENT: (If applicable) Address: 3oard of Trustees Applic~ GENERAL DATA Land Area (in square feet): /, Area Zoning: /~-6'/t~f~ ~7 ~/~ Previous use of property: ~',y Intended use of property: Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? /~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): . . , OBoard of Trustees ApplicOn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area ofwetlands on lot: ~/,//~ square feet Percent coverage of lot: ///"/,~ % ! Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? /~ No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope thxoughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such PrOpoSed operations (Use attachments if apPr0priate)i PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART '1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide ma~) 5, IS PROPOSED ACTION: [--~ New [-~ Expansion [---I Modification / afleration SEQR 7 AMOUNT OF LAND AFFECTED: ~,~ *,~ ,~ Initially acres Ultimately acres '~O~ · 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes []No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) I~Residential [---]Industrial I~Commercial r~lAgriculture E~] Park / Forest / Open Space 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) I'~Yes ¢ NO If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes ~No If yes, iisi agency name and permit / approval: 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes,~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantsignature ~//-~''&'~'~''~[ J//Sponsor Name ~--~ ~:~ ~//~'~ ~~l~r/~'J/~(~ Date: //~' . ~/ If the action Is a Costal Area, and you are a state agency, C~omplete the Coastal Assessment Form before proceeding with this assessment I~ Other (describe) PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. r-lYes r--INo B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617,67 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sud'ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Exptain briefly: C2. Aesthetic, agricultural, amhaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. g ' , s ,s e she w~d~if~spec~s'sign~flcanthab~tats~r~hr~at~n~d~r~ndanger~spec~s?Exp~ainbrief~yi C4. A community's existing plans or goals as officially adopted, or a change in use or intensgy of use of land or ether natural resources? Explain briefly: C5 Growth. subsequent deYelopment, or related aoflvifles likely to be induced by the proposed actien'?'Expiain bdeflyi ....... C6. Long term, shor~ term, cumulative, or other effects not identified in C1-C57 Explain briefly: C70!her!mpactstin¢!udi~changes!n'~;f'~flh~rquanflb/or t~/peofener~¥? Explain briefly: D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEA)? (If yes, E~Yes r~NoI 4_ explainbdefl~/: ................ I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If },es ex lai~ PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~ed~b~ve~determinewhetheritissubstantia~~~arge~imp~rtan~~r~therwisesi~ni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified a nd adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL[ EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed acti0r WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessarT, the reasons supporting Iht! determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) · Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISiNG UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, TJ~EIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERT/Y T)O INSPECT THE ~/// Signature _ SWORN TO BEFORE ME THIS /7 DAYOF ~ ,20~) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics ~rohibits conflicts of interest on the nart of town officers and emnlovees. The tmroose of this form is to nrovide information which can alert the town of nossthle conflicts of interest and allow ~t to take whatever actton Id pecessarv to avoid same.~/%,~'fl (Last name, first name, t;niddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning Other Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relanonsh*p' includes by blood, marriage, or business interest. "Business interest' means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO //N~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself{the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% oftbe shares of the corporate stock of the applicant (when the applicant is a corporation); ___B) the legal or'beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, partner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1